- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.43 / $51.84 / $125.29
| Facility | | $24.43 | $51.84 | $125.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.68 / $13.02 / $14.57
| Professional | | $12.68 | $13.02 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.29 / $25.35 / $100.00
| Facility | | $13.29 | $25.35 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $14.57 / $35.49
| Professional | | $8.74 | $14.57 | $35.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.96 / $71.59
| Facility | | $25.72 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.70 / $13.70 / $18.64
| Professional | | $13.70 | $13.70 | $18.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $21.67 / $49.79
| Facility | | $10.18 | $21.67 | $49.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $16.11 / $24.86
| Professional | | $8.74 | $16.11 | $24.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $20.19 / $54.24
| Professional | | $14.57 | $20.19 | $54.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.16 / $18.98 / $84.77
| Facility | | $17.16 | $18.98 | $84.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.35 / $100.00 / $100.00
| Facility | | $25.35 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $9.77 / $30.77
| Professional | | $6.99 | $9.77 | $30.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.14 / $17.63 / $28.78
| Facility | | $14.14 | $17.63 | $28.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $15.03 / $18.43
| Professional | | $12.85 | $15.03 | $18.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $12.22 / $27.77
| Professional | | $7.22 | $12.22 | $27.77 |